Andreas A Boehmer, Moritz Rothe, Christina M Soether, Bernhard M Kaess, Joachim R Ehrlich
Supraventricular tachycardia (SVT) is a very common cause of hospital admission and its diagnostic and treatment may be difficult sometimes. While vagal maneuvers or intravenous adenosis administration during 12-lead ECG recording should be performed in hemodynamically stable patients for diagnosis and treatment, hemodynamically unstable patients should be carioverted immediately. The new ESC guideline (2019) on diagnosis and clinical management of SVT significantly upgrades catheter ablation and gives it a new preferential status...
December 2020: Deutsche Medizinische Wochenschrift
Hasan Candaş Kafalı, Erkut Öztürk, Senem Özgür, Gülhan Tunca Şahin, Alper Güzeltaş, Yakup Ergül
OBJECTIVE: The aim of this study is to present electrophysiologic characteristics and catheter ablation results of tachycardia-induced cardiomyopathy (TIC) in children with structurally normal heart. METHODS: We performed a single-center retrospective review of all pediatric patients with TIC, who underwent an electrophysiology study and ablation procedure in our clinic between November 2013 and January 2019. RESULTS: A total of 26 patients, 24 patients with single tachyarrhythmia substrates and two patients each with two tachyarrhythmia substrates, resulting with a total of 28 tachyarrhythmia substrates, underwent ablation for TIC...
December 2020: Anatolian Journal of Cardiology
Emmanuelle Duceppe, Jean-François Lauzon, Steven Galliger, Betty Zhang, Hannah Solomon, Pablo E Serrano
BACKGROUND: Intraabdominal surgery is a known risk factor for splanchnic vein thrombosis (SVT). SVT incidence, management, and prognosis after hepatopancreatobiliary surgery are unknown. OBJECTIVES: To determine the incidence and prognosis of SVT following hepatopancreatobiliary surgery and describe current practices in anticoagulation for postoperative SVT. Patients/Methods Multicentre retrospective cohort study of adults undergoing hepatopancreatobiliary surgery...
November 29, 2020: Journal of Thrombosis and Haemostasis: JTH
Ido Goldenberg, Julia W Erath, Andrea M Russo, Ashley E Burch, Birgit Assmus, Diana Bonderman, Scott McNitt, Valentina Kutyifa
BACKGROUND: Data on the arrhythmic burden of women at-risk for sudden cardiac death are very limited, especially in patients using the wearable cardioverter defibrillator (WCD). OBJECTIVE: We aimed to characterize WCD compliance, atrial and ventricular arrhythmic burden, and WCD outcomes by sex, in patients enrolled in the WEARIT-II U.S. Registry. METHODS: In WEARIT-II, we stratified 2,000 patients by sex into women (n=598), and men (n=1402)...
November 25, 2020: Heart Rhythm: the Official Journal of the Heart Rhythm Society
Jedrzej Kosiuk, Lucas Fiedler, Sabine Ernst, David Duncker, Nikola Pavlović, Silvia Guarguagli, Clara Stegmann, Dawid Miskowiec, Rodrigue Garcia, Vincenzo Russo, Andriy Yakushev, Nándor Szegedi, Tom De Potter
BACKGROUND: Fluoroscopy has been an essential part of every electrophysiological procedure since its inception. However, till now no clear standards regarding acceptable x-ray exposure nor recommendation how to achieve them have been proposed. HYPOTHESIS: Current norms and quality markers required for optimal clinical routine can be identified. METHODS: Centers participating in this Europe-wide multicenter, prospective registry were requested to provide characteristics of the center, operators, technical equipment as well as procedural settings of consecutive cases...
November 21, 2020: Clinical Cardiology
Marc McDowell, Tasneem Ahmed, Bill Schroeder, Shannon Staley
INTRODUCTION: Supraventricular tachycardia (SVT) is a condition requiring emergency care in neonates. CASE REPORT: We describe a successfully treated case of neonatal SVT in a four-week-old neonate using the novel adenosine administration method. This technique is potentially easier to facilitate and does not require equipment such as a stopcock. Adenosine 0.2 milligrams per kilogram was drawn up into a syringe containing 0.9% sodium chloride to a total volume of 3 milliliters...
November 2020: Clinical Practice and Cases in Emergency Medicine
Satvinder Singh Bhatia, Wendy H Burgess, Jonathan R Skinner
Background  Supraventricular tachycardia (SVT) is seldom considered a cause for fetal tachycardia; commoner etiologies including maternal fever and fetal distress are usually envisaged. Fetal arrhythmia can be missed as a diagnosis, potentially leading to suboptimal management. Cases  Three cases are described where detection of fetal tachycardia >200 beats per minute (bpm) at 36, 40, and 38 weeks gestation resulted in emergency cesarean section for presumed fetal distress. Retrospective review of the cardiotocograph in two cases revealed baseline heart rates 120 to 160 bpm, with loss of trace associated with auscultated rates over 200 bpm...
October 2020: American Journal of Perinatology Reports
Nathan VanderVeen, Nikki Nguyen, Kenny Hoang, Jason Parviz, Tahuriah Khan, Andrew Zhen, Brett W Jaggera
We present the case of a 59-year-old Midwestern farmer who presented with altered mental status, dysarthria, urinary incontinence, and a right-sided L5 dermatomal rash; he had recently received a course of oral corticosteroids for treatment of radicular low back pain. Lumbar puncture revealed the presence of varicella zoster virus (VZV) and IgM antibodies against a California-group encephalitis virus, later confirmed as Jamestown Canyon virus (JCV). Unfortunately, the patient's health declined despite aggressive treatment, developing progressive subarachnoid hemorrhage...
2020: IDCases
Oheneba Boachie-Adjei, Cristina Sacramento-Dominguez, Jennifer Ayamga, Arthur Sackeyfio, Henry Ofori Duah, Kwadwo Poku Yankey, Harry Akoto, Rick Hodes, Irene Wulff, Ferran Pellise
STUDY DESIGN: Prospective case series OBJECTIVE: Results of surgical treatment of complex vertebral transposition "Gamma Deformity" > 180 degrees with halo gravity traction (HGT) and vertebral column resection (VCR). We recently published a novel classification system for complex spine deformities of which complex vertebral transposition > 180 degrees (Gamma; type 3) was described. Halo gravity traction (HGT) has been shown to mitigate surgical risk in complex spine deformity correction and in some cases obviates the need for three-column osteotomy...
November 18, 2020: Spine Deformity
Raghav Bansal, Ramalingam Vadivelu, Yash Lokhandwala
No abstract text is available yet for this article.
November 18, 2020: Pacing and Clinical Electrophysiology: PACE
Mahmood Mubasher, Tausif Syed, Amir Hanafi, Zhao Yu, Ibrahim Yusuf, Abdullah Sayied Abdullah, Mouhand Fh Mohamed, Richard Alweis, Mohan Rao, Ryan Hoefen, Mohammed I Danjuma
Background: Inflammatory bowel diseases (IBD) associated-chronic inflammation and autonomic dysregulation may predispose to arrhythmias. However, its exact prevalence is unknown. Thus, we aimed to ascertain the prevalence of arrhythmias in patients with IBD. Methods: We queried the Nationwide Inpatient Sample (the largest publicly available all-payer inpatient USA database) from 2012 to 2014. We used the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9 CM) discharge codes to identify adult patients (⩾18 years) with IBD and dysrhythmias (supraventricular tachycardia (SVT), atrial fibrillation, atrial flutter, ventricular tachycardia (VT), or ventricular fibrillation)...
2020: Clinical Medicine Insights. Cardiology
Malak Abbas, Justin Verville, Khalil Mroue
Adenosine is an endogenous nucleoside that plays a major role in the pathophysiology of airway diseases, such as asthma and chronic obstructive pulmonary disease. It is also an effective drug at terminating supraventricular tachycardia and used for pharmacological stress testing with a relatively safe side effect profile. There is a contraindication for the use of adenosine in patients with asthma and a caution to use in patients with chronic obstructive pulmonary disease. We present a case of a 63-year old female patient who was treated with adenosine and subsequently went into respiratory distress...
November 6, 2020: American Journal of Emergency Medicine
Vikas Thondapu, Daniel Montes, Rachel Rosovsky, Anahita Dua, Shaunagh McDermott, Michael T Lu, Brian Ghoshhajra, Udo Hoffmann, Marie Denise Gerhard-Herman, Sandeep Hedgire
OBJECTIVE: Coronavirus disease 2019 (COVID-19) is associated with abnormal inflammatory and coagulation markers, potentially mediating thrombotic events. The objective was to investigate the incidence, time course, laboratory features, and in-hospital outcomes of COVID-19 patients with suspected venous thromboembolism (VTE). METHODS: A retrospective observational cohort study was conducted in patients hospitalized with COVID-19 undergoing ultrasound imaging for suspected VTE between March 13 to May 18, 2020...
November 11, 2020: Journal of Vascular Surgery. Venous and Lymphatic Disorders
Gilda Belli, Mattia Giovannini, Giulio Porcedda, Marco Moroni, Giancarlo la Marca, Guglielmo Capponi, Silvia Favilli, Luciano De Simone
Supraventricular tachyarrhythmia (SVT) is the most common type of arrhythmia in childhood. Management can be challenging with an associated risk of mortality. A female neonate was diagnosed with episodes of SVT, controlled antenatally with digoxin. Flecainide was commenced prophylactically at birth. Despite treatment, the infant developed a narrow complex tachycardia at 5 days of age. The electrocardiogram features were suggestive of either re-entry tachycardia or of automatic atrial tachycardia (AAT). Following several unsuccessful treatments, a wide complex tachycardia developed...
November 11, 2020: Pediatric Reports
Alessandra Serrao, Manuela Merli, Benedetta Lucani, Francesca Aprile, Luciano Fiori, Stefania Gioia, Massimo Breccia, Olivero Riggio, Antonio Chistolini
BACKGROUND: Splanchnic vein thrombosis (SVT) is an uncommon but potentially life-threatening disease usually related to different underlying clinical conditions. The risk of SVT recurrences is high over time in patients with an underlying permanent prothrombotic condition. Vitamin K antagonists (VKA) represent the mainstay of treatment for SVT. Data about the efficacy and safety of direct oral anticoagulants (DOACs) are reported in the literature for the treatment of acute SVT, but less is known about their application for the secondary prophylaxis of venous thromboembolism (VTE)...
July 24, 2020: European Journal of Clinical Investigation
Savaş Özer, Mustafa Çetin, Ali Gökhan Özyıldız, Ramazan Gengörü, Oğuzhan Ekrem Turan, Meltem Puşuroğlu, Bülent Bahçeci, Turan Erdoğan
Aim: The relationship between arrhythmia induction and ablation with palpitation characteristics has been demonstrated in electrophysiological study (EPS) patients. However, there is insufficient data on palpitation characteristics and their sensitivity and specificity. We aimed to identify the relationship between scoring composed of palpitation characteristics with the supraventricular tachycardia (SVT) induction and the success rate of the procedure. Method: A total of 119 patients, diagnosed as paroxysmal supraventricular tachycardia (PSVT) by electrocardiography, rhythm Holter or symptoms, and underwent EPS, were enrolled in the study...
2020: Journal of the Saudi Heart Association
Leonard Naymagon, Douglas Tremblay, Nicole Zubizarreta, Erin Moshier, John Mascarenhas, Thomas Schiano
BACKGROUND: The role of anticoagulation (AC) in the management of cirrhotic patients with portal vein thrombosis (PVT) remains unclear. AIMS: We conducted a retrospective study of cirrhotic patients diagnosed with PVT from 1/1/2000 through 2/1/2019, comparing those who received AC to those who did not. METHODS: Outcomes included rate of complete radiographic resolution (CRR) of PVT, recanalization of occlusive PVT (RCO), PVT extension, major bleeding, and overall survival (OS)...
November 5, 2020: Digestive Diseases and Sciences
Hannah Brokmeier, Kazuhiko Kido
OBJECTIVE: To evaluate clinical literature for direct oral anticoagulants (DOACs) therapy for non-Food and Drug Administration approved indications. DATA SOURCES: Articles from MEDLINE, Cochrane Library, Google Scholar, and OVID databases were reviewed from 1946 through September 4, 2020. STUDY SELECTION AND DATA EXTRACTION: Fully published studies assessing DOACs for atrial fibrillation (AF) with valvular heart disease (VHD), heart failure (HF), left ventricular thrombus (LVT), superficial vein thrombosis (SVT), or pulmonary hypertension (PH) were evaluated...
November 4, 2020: Annals of Pharmacotherapy
Ofer Havakuk, Dana Viskin, Sami Viskin, Arnon Adler, Zach Rozenbaum, Meital Elbaz Zuzut, Ariel Borohovitz, Ehud Chorin, Raphael Rosso
Background "Palpitations" are one of the most common complaints prompting medical attention. Textbooks of medicine and cardiology as well as guideline documents and position papers describe palpitations as a common symptom of ventricular tachycardia (VT). However, data to support this description are lacking. The aim of our study was to evaluate the symptomatology of sustained monomorphic VT with emphasis on the prevalence of palpitations. Methods and Results Consecutive patients presenting to our center with a first event of a regular sustained monomorphic VT (n=59) or a regular supraventricular tachycardia (SVT; n=109) between January 2012 and September 2019 were interviewed regarding their symptoms during the arrhythmic event...
November 4, 2020: Journal of the American Heart Association
Tanzeela Kausar, Sanam Chandio, Iram Quddus, Ghulam Sarwar Qureshi, Zafar Haleem Baloch, Anam Pario
OBJECTIVES: To determine the effectiveness of Sectra visualisation table (SVT) in a public sector setup and to compare the traditional (TRAD) lecture with SVT-aided teaching in terms of learning outcomes and students' perception regarding SVT. STUDY DESIGN: Cross-sectional study. PLACE AND DURATION OF STUDY: Jinnah Sindh Medical University, from October to November 2018. METHODOLOGY: Entire batch of BDS (Bachelors of Dental Surgery) i...
October 2020: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
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